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A tenotomy is a soft tissue procedure used to correct flexible hammertoes. A hammer toe occurs when there is an imbalance between two opposing muscle groups. This imbalance will cause the toe to “buckle” under the strain. For this procedure to be successful the joints in question must be flexible (i.e. the joint must be movable). A tenotomy is a minimally invasive surgery that can be performed comfortably in office. The procedure does not require any time off work and the patient is able to ambulate immediately.

Nail Surgery

Nail surgery: Nail surgery is generally performed when a portion of the toenail has become embedded into the side of the toe and cannot be removed conservatively. It is a simple, in office procedure generally performed under local anesthesia. A chemical cauterizing agent can be applied to the growth plate, at the base of the nail, which will prevent the small portion of removed toenail from re-growing. After the procedure the patient is able to comfortably walk out of the clinic and can return to work or school the next day.

Laser and Warts

The treatment of warts using a YAG 1064nm LASER works on two different levels: first on a photodynamic level (i.e. the blood vessels that feed the virus have a high affinity for certain wavelengths of light. When the blood absorbs the light it is converted to heat, which destroys the blood vessel) and on a mechanodynamic level (i.e. the energy output (fluence) of the LASER vaporizes the surrounding tissue.) This combination yields a 96% success rate in eradicating the virus. Typically, two to three treatments are required.

laser wart removal treatment foot pain feet

Autoimmune Inoculation Therapy for Warts

This unique therapy involves depositing a small amount of the virus into the deeper layers of the dermis, which activates the immune system. Once the immune system is activated it usually requires four to six weeks for the virus to be eradicated. Typically one treatment is required. Interestingly, once the immune system is activated, it will target the virus anywhere on the body. (For Example: if there are warts on the other foot, they too will disappear.)

Lasers and Fungus

Recently, Health Canada approved the YAG 1064 nm LASER for the treatment of fungal toenails. In September 2011 Medical Foot Solutions purchased a Health Canada approved 1064 YAG LASER, and is the only clinic in the area to offer an effective alternative to oral treatments for toenail fungus. Typically LASER treatments takes 5 minutes per toenail with a recommended total of 3 treatments spaced 6 weeks apart. The treatment does not require any needles or anesthetic since the treatment causes only minimal discomfort. As with most fungal nail treatments, it will take several months for the patient to see an improvement in the nail plate. Therefore, it is important to begin treatment as soon as possible, especially if you are hoping to have clear healthy nails for summertime sandals.


A Neuroma is a medical term given to the swelling of the digital nerve. A Morton’s neuroma specifically refers to the swelling of the digital nerve between the third and fourth metatarsals. A neuroma can occur between other metatarsals and they will have their own unique names. Most commonly, a neuroma occurs between the third and fourth metatarsals. Neuromas are more common in women, with a female­to-male ratio of 4:1. They tend to occur in the fifth decade of life and frequently are exacerbated by constrictive footwear. Symptoms typically include: Shooting pain, burning, numbness and occasionally a “clicking” sensation. Treatment will generally consist of: orthotic therapy, cortisone injection, alcohol injections and or surgery.

Cortisone injection alchohol injection neuroma treatment foot feet pain

Koby Guard Treatment for Neuromas

This treatment is generally reserved for those patients who have not had successful outcomes with orthotic therapy and or injection therapy. The aim of this treatment is to reduce the trauma/or compression on the digital nerve. This procedure is not a neurectomy (excision of the nerve), and therefore will leave normal sensation intact. This procedure involves making a small incision between the third and fourth toes under local anesthesia. The transverse ligament (a tissue that is responsible for holding the metatarsal bones tightly together) is identified and cut. This will result in a decompression of the localized nerve. The patient is able to ambulate immediately, though there will be some localized bruising. Full healing should take 4 to 6 weeks.


A fasciotomy is a medical term used to describe the cutting (completely or partially) of the fascial tissue. This type of procedure is generally performed when all other conservative treatments have failed. A fasciotomy is an in office procedure where a small incision is made near the heel, the plantar fascial band is identified and it is partially or fully severed. The aim of this treatment is to provide relief of those patients who are suffering from chronic heel pain that has not responded to orthotics, footwear modification, cortisone injections, and ultrasound or physiotherapy treatments.


An orthotic is a specially made medical device that is uniquely contoured to a specific person’s foot. This device is thin enough to fit into a variety of different types of shoes. An orthotic is typically made from polypropylene or graphite which gives the orthotics its unique ability to be flexible and strong. An orthotic is designed to treat many different biomechanical dysfunctions. This may include: Flatfeet, heel pain, heel spurs, neuromas, tendinitis, bursitis etc. The first step in making an orthotic is to make a plaster cast of the patient’s foot. The casts are then sent to our laboratory, which uses state-of-the-art milling machines to precisely grind out your orthotics to the correct specifications. It typically requires two weeks to receive your new orthotics. For more information about how your orthotics are manufactured please visit the website at:

Custom orthotics treatment flat feet fallen arches foot pain

Compression Socks

Compression therapy is usually initiated when the patient is complaining of swelling in and around the foot and ankle, or when the veins have become enlarged and torturous causing discomfort. Compression therapy can also be effective for those patients who sit or stand for long periods of time resulting in a general fatigue feeling in the legs and feet. Modern compression socks have come a long way from the early days of heavy, hot latex stockings. Today they come in a variety of materials, styles (for men and women) and various levels of compression depending on the pathology that is being addressed. Medical Foot Solutions is fully certified compression fitters and we have a wide selection of samples for the Sigvaris line of products.


This revolutionary procedure offers a permanent solution to many common foot conditions such as: Flatfeet, plantar fasciitis, fallen aches, bunions, heel pain and some forms of tendinitis. Virtually anyone can have this procedure as long as the foot is flexible and the patient is older than 3 years of age. HyproCure is a simple in office surgery that takes approximately 30 minutes to perform. Under local anesthesia, a titanium stent is placed within the canalis portion of the sinus tarsi. After the 30 minute procedure, the patient is able to leave the office on their own. Typically the implant will last a life time and does not need to be replaced as the patient ages. HyproCure is the ONLY permanent non-surgical alternative to orthotics. Visit: Medical Foot Solutions is currently the only clinic in the Halton area that is offering this procedure.
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Orthopedic Shoes

A properly made and fitted shoe is probably the single most important thing a patient can do to prevent pain or injury to the foot. A shoe is the foundation that must support the weight of the entire body. With so many different forces acting upon the shoe is important to get a well-made orthopedic style shoe that is able to handle these forces. Medical Foot Solutions offers a very specialized line of orthopedic shoes to address almost every type of foot.

orthopedic footwear orthopedic shoes for foot pain flat feet

Cortisone Injection

Cortisone is an injectable anti-inflammatory that is designed to quickly settle localized inflammation. Cortisone works by minimizing the inflammation which thereby reduces the pain. Cortisone is typically used for such conditions as: Heel pain, bursitis, Morton’s neuroma and metatarsalgia etc. A typical cortisone injection can provide relief up to several weeks or even months.

Alcohol Injections

This unique injection therapy uses a 4% ethyl alcohol solution to dehydrate (shrink) surrounding tissue or nerves. Alcohol injections can be used for Morton’s neuroma or painful scars. Typically seven (7) injections spaced one week apart is required. The key to a successful outcome is a commitment to the full 7 treatments.

Sport Injuries

Typically, sports injuries are soft tissue injuries which result from abnormal motion of the foot and ankle. Treatment usually involves addressing the soft tissue damage as well as the biomechanical dysfunction. Ultrasound, cortisone and specialized exercises generally will address the soft tissue damage, where orthotics, HyproCure and footwear will address the biomechanical dysfunction. To effectively treat an injured athlete it is important that both components are treated.

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